Navegando por Palavras-chave "Stomatognathic System"
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- ItemAcesso aberto (Open Access)Análise da força de mordida nos diferentes tipos de maloclusões dentárias, segundo Angle(CEFAC Saúde e Educação, 2014-10-01) Araújo, Sarah Cueva Candido Soares de; Vieira, Marilena Manno [UNIFESP]; Gasparotto, Christiane Aparecida; Bommarito, Silvana [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); SOEBRAS - FUNORTEPURPOSE:to analyze the maximum bite force in individuals with normal occlusion and types of Angle’s malocclusion; to observe the frequency of occurrence of each type of occlusion; to analyze whether there is any difference between measurements of force and relate bite force to body mass index (BMI). METHODS: the sample was composed of 100 students of the Speech and Language Pathology School at UNIFESP, with ages between 17 and 25 years. Individuals with ATM disfunctions, mental or genetic disorders and those who had already undergone miotherapy were excluded. Each individual went through an evaluation, which consisted of: 1) gathering personal information, personal diet, chewing preference, weight and height. 2) evaluation of dental occlusion as normal occlusion or malocclusion Class I, Class II 1st division, Class II 2nd division or Class III. 3) evaluation of bite force, performed by using a digital dynamometer. Different techniques were used for statistical analysis. RESULTS:individuals with normal occlusion were those who had the greatest bite force, followed by Classes I, II 1st and 2nd divisions and Class III, respectively; there was higher occurrence of malocclusion Class I, followed by normal occlusion, Class II 1st and 2nd divisions and Class III; There was an increase of the average force between the first and third measurements for both sides; there was no correlation between bite force and BMI.CONCLUSION:the type of occlusion influenced bite force, the greatest force being obtained on the third measurement; there was no relation between BMI and bite force.
- ItemAcesso aberto (Open Access)Análise da mastigação em indivíduos que apresentam mordida cruzada unilateral na faixa-etária de 07 a 12 anos(CEFAC Saúde e Educação, 2007-09-01) Pastana, Silvana Da Gama; Costa, Simone De Menezes; Chiappetta, Ana Lúcia de Magalhães Leal [UNIFESP]; Prefeitura do Rio de Janeiro; Universidade do Estado do Rio de Janeiro; CEFAC - Saúde e Educação; Hospital Estadual Adão Pereira Nunes; Universidade Federal de São Paulo (UNIFESP)PURPOSE: to analyze the function of chewing, related to the posterior unilateral crossbite in children aged between 07 to 12 years. METHODS: 10 samples of both genders with posterior unilateral crossbite, with no orthodontic treatment history. During the speech language pathology evaluation the examined items were: food cutting, side of the chewing, rhythm, lips position, food escape, jaw movement, exaggerated participation of the perioral muscles, food accumulation in the vestibule of the mouth, position and size of the alimentary cake. RESULTS: from the 10 evaluated samples, 80% demonstrated unilateral chewing of the same side of the posterior unilateral crossbite and 20% bilateral chewing. From the 08 analyzed samples, the results were: previous cut, without escape of food and rotatory movements 100%; slow rhythm 50% and fast rhythm 50%; closed lips 75%; exaggerated participation of perioral muscles 62,5%; without accumulation of food 87,5%; alimentary cake cente-red 62,5%; small cale size 62,5%. CONCLUSION: from the evaluated cases, it was observed that 80% confirmed the relation between unilateral chewing and unilateral posterior crossbite, corroborating the literature s reporting. In the chewing, no any alterations related to the posterior unilateral crossbite and unilateral chewing have been noted.
- ItemSomente MetadadadosAvaliação miofuncional orofacial em idosos com Doença de Parkinson(Universidade Federal de São Paulo (UNIFESP), 2021) Araujo, Silvia Regina Siqueira De [UNIFESP]; Monteiro, Silvana Bommarito [UNIFESP]; Universidade Federal de São PauloObjective: to evaluate orofacial myofunctional structures in elderly people with Parkinson's Disease (PD) through the protocol of the Orofacial Myofunctional Evaluation with Scores for Elders protocol (OMES-Elders) and observe the association with stages of PD, pharmacological treatment and quality of life of the patient with PD. Method: The sample consisted of a group called the Parkinson's Group (PG) composed of 45 elderly people diagnosed with PD and a Control Group (CG) with elderly people composed of 10 healthy elderly people. Personal data, information on the use and dosage of medications and information on the stage of PD were collected in an interview conducted by the Hoehn & Yahr Scale and the following reports were reported: Mini-Mental State Examination (MMSE), Parkinson's Disease Questionnaire (PDQ-39) and the Orofacial Myofunctional Evaluation with Scores for Elders protocol (OMES-Elders). Results: It was possible to observe no aspect of appearance and condition of difference between the two groups, as well as in the aspect of mobility present the difference between the CG and the PG stages 2, 3 and 4 by Hoehn & Yahr (p <0.05). On the other hand, no significant difference was found for the swallowing and chewing domain. Regarding the total chewing time and the total number of chewing cycles, a significant difference was found in the number of chewing cycles. The total score of OMES-Elders is different between the CG and stages 2, 3 and 4 of the PG (p <0.05). Regarding the PDQ-39, it was possible to observe the difference between the mobility domain and activities of daily living. A negative correlation was found between the scores of the PDQ-39 'Communication' domain and the total OMES-Elders score. No significant difference was found in the swallowing scores in relation to the medications used by the elderly. Conclusion: Elderly with PD presented worse performances in the domains of appearance and posture, mobility and in the total score of the orofacial myofunctional protocol in relation to the elderly in the healthy group; chewing time and number of chewing cycles also differed between groups. As the disease progresses, there is a likelihood of worsening quality of life mainly in the mobility and activity of daily living domains; additionally, the worse the perception of the elderly with PD on their communication will be. The use of drug that are potentially xerogenic or that change the swallowing function did not influence the scores of the swallowing domain of the Evaluation with scores for Elders protocol in patients with PD.
- ItemAcesso aberto (Open Access)Cardiopatia congênita infantil: estudo dos aspectos miofuncionais orofaciais, comportamento alimentar e temperatura facial(Universidade Federal de São Paulo (UNIFESP), 2019-02-28) Barbosa, Marcela Dinalli Gomes [UNIFESP]; Monteiro, Silvana Bommarito [UNIFESP]; http://lattes.cnpq.br/5606969949793059; http://lattes.cnpq.br/5531659621774571; Universidade Federal de São Paulo (UNIFESP)Objective: To characterize and relate the eating behavior, myofunctional orofacial conditions and speech, with the facial temperature of children with congenital heart disease. Method: This is a cross-sectional case-control study. The sample consisted of 30 children with heart disease (5.48 ± 0.84 years) and 28 healthy children (4.98 ± 0.64 years), matched by sex and age. The food behavior assessment questionnaire (Montreal Pediatric Hospital Feeding Scale - MCH-FS - Portuguese Version) was applied, validated AMIOFE-E protocol for orofacial myofunctional evaluation, speech evaluation using the Children's Language Test (ABFW) , and finally an evaluation of the facial temperature, where the therananatomic points were analyzed: temporal, supratrochlear, medial palpebral commissure, lateral eyelid commissure, nasolabial, labial commissure and lower lip, on the right and left sides of the face. For statistical analysis, we applied: Student's T-test, chi-square of homogeneity, logistic regression and Pearson's Linear Correlation test. Results: Feeding behavior did not present a statistically significant difference between the control and cardiopathy groups (cyanotic and acyanotic). There was no effect of age and sex on the mean temperature and the thermal difference of the facial thermoanatomic points. However, when submitted to procedures (surgery and catheterization) the temperature was hyperradiant at the CPM thermoanatomical point. There were myofunctional orofacial alterations regarding the appearance / posture of the structures, mental muscle with contraction and hard palate (narrow / deep); mandibular and cheek mobility, swallowing, breathing and speech functions. Presence of correlation between facial temperature and AMIOFE-E protocol for CL D and E and LI D and E. Conclusions: Children with congenital heart disease presented similar eating behavior to healthy children in their parents' perception, hyperradiant facial temperature at CPM when submitted to an interventional procedure. Myofunctional orofacial aspects evidenced changes in posture / position, mobility and functions. There was a correlation between the average temperature of the thermotomatric points of CL D and E, LI D and E, with the sum category of AMIOFE-E protocol functions.
- ItemAcesso aberto (Open Access)A confiabilidade da informação fornecida pelo indivíduo a respeito de seu posicionamento habitual de língua(CEFAC Saúde e Educação, 2011-04-01) Cardoso, Ana Fernanda Rodrigues; Bommarito, Silvana [UNIFESP]; Chiari, Brasilia Maria [UNIFESP]; Motta, Andréa Rodrigues [UNIFESP]; Universidade Federal de Minas Gerais Hospital das Clínicas; Universidade Federal de São Paulo (UNIFESP)PURPOSE: to check the reliability of the information provided by adults and children about the habitual tongue position. METHODS: we investigated 30 children and 30 adults in two phases, with minimum difference of seven and maximum of twenty-one days. Initially we observed the usual position of the tongue. Then the subjects were questioned about the habitual position After the response, the tongue was stimulated with a wooden spatula, in order to enhance perception. Then, the subjects were guided to observe where their tongue was usually positioned in the oral cavity, until the second assessment. This time, the subjects were asked about their habitual position of the tongue. Data were analyzed using Kappa statistic. RESULTS: it was not possible to observe the usual position of the tongue in 100% of the sample. As for the general reliability of the responses, it was found between mild and regular classification. The children showed responses to be little consistent and very diverse. As for the adults, part of them submitted correct answers in the first question and others only submitted reliable answers after intra-oral perception stimulation. CONCLUSIONS: the reliability of the information provided by the individuals in the sample on the usual position of the tongue varies from mild, regular, and therefore low, both in children as in adults. A possible strategy to be used in clinical speech therapy practice is questioning the patients about their tongue position after a period of observation.
- ItemAcesso aberto (Open Access)Relação da respiração oral e hábitos de sucção não-nutritiva com alterações do sistema estomatognático(CEFAC Saúde e Educação, 2012-04-01) Pacheco, Andrielle De Bitencourt; Silva, Ana Maria Toniolo Da [UNIFESP]; Mezzomo, Carolina Lisbôa; Berwig, Luana Cristina; Neu, Aline Prade; Universidade Federal de Santa Maria; Universidade Federal de São Paulo (UNIFESP); Pontifícia Universidade Católica do Rio Grande do SulPURPOSE: to investigate the relationship between oral breathing of different etiologies and persisting non-nutritive sucking habits in establishing structural alterations in the stomatognathic system. METHOD: the sample comprised 78 children between 7 and 11 year old, 36 boys and 42 girls, divided in two groups based on non-nutritive sucking habits and breathing mode. All children underwent otolaryngological, speech-language and dentistry evaluations. Data analysis was performed using Chi-square test considering significance level of 5%. RESULTS: there was significant association between breathing mode and lips posture; between breathing mode and hard palate; between nonnutritive sucking habits and cheek posture. In the analysis of the association between breathing mode and nonnutritive sucking habits with the habitual lips posture and hard palate, we also forund a statistical significance. CONCLUSION: it was found that the altered lips posture and hard palate was more frequent in the vicious and obstructive mouth breathers groups. The asymmetrical cheeks posture was more frequent among children with habits. The altered lips posture and hard palate alterations were also more frequent in oral breathers regardless of the presence or absence of any habits.
- ItemAcesso aberto (Open Access)Relação entre fala, tônus e praxia não-verbal do sistema estomatognático em pré-escolares(Pró-Fono Produtos Especializados para Fonoaudiologia Ltda., 2006-12-01) Farias, Samira Raquel De [UNIFESP]; Ávila, Clara Regina Brandão de [UNIFESP]; Vieira, Marilena Manno [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)BACKGROUND: relationship between speech, tonus and non-verbal praxis. AIM: to verify the relationship between speech, tonus and non-verbal praxis of the stomatognathic system in preschoolers. METHOD: 120 children, with ages between 4:0 and 5:11 years, were assessed. This assessment consisted of an anamnesis and a speech-language evaluation. The anamnesis was carried out with each child and was completed with information obtained through a questionnaire filled out by parents or guardians. The speech-language assessment involved: assessment of tonus (resistance), of mobility (execution of isolated movements), praxis of lips and tongue (repetition of sequential movements) and of speech (picture naming). RESULTS: statistically significant findings were: normal tongue tonus in the group of children with normal praxis (p = 0.003*); tongue with altered tonus in the group of children with altered praxis (p = 0.003*) and normal speech in the group of children with normal praxis (p < 0.001). Other observations were: normal lip tonus in the group of children with normal praxis (p = 0.058); altered speech (omission, substitution and distortion) in the group of children with altered lip tonus (p = 0.149), normal speech in the group of children with normal tongue tonus (p = 0.332); altered speech (omission, substitution and distortion) in the group of children with altered lip praxis (p = 0.241). Differences in speech related to gender or age were not observed in the present study. However, children with ages between 4:0 and 4:11 years presented speech alterations in a higher proportion when compared to children with ages between 5:0 and 5:11 years. CONCLUSION: it was not possible to prove the existence of a relationship between tonus and lip praxis, and between lip praxis and speech. A relationship exists between tonus and non-verbal tongue praxis and also between non-verbal tongue praxis and speech.